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Changes in Neighborhood-Level Socioeconomic Disadvantage and Older Americans’ Cognitive Functioning

机译:邻域级社会经济劣势和老年人认知功能的变化

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Abstract Most studies of later life cognitive functioning have focused on individual-level variables. While some studies have examined neighborhood-level variables as influences upon older adults’ cognitive functioning, this scholarship has neglected to consider neighborhoods in a dynamic context. The present study helps fill this research gap by considering how changing extents of neighborhood-level socioeconomic disadvantage cause changes in older residents’ cognitive functioning. We employ waves 2 (2010-2011) and 3 (2015-2016) of the National Social Life, Health, and Aging Project (NSHAP) as our source of individual-level variables and the American Community Survey as our source of neighborhood-level variables. Our analytical sample includes 1,989 respondents who participated in both waves and were 50 to 90 years in age at wave 2 of the NSHAP. Through structural equation modelling, we find that rising neighborhood-level socioeconomic disadvantage significantly decreases older residents’ cognitive functioning, both without and after controlling for baseline neighborhood-level socioeconomic disadvantage and cognitive functioning. Furthermore, approximately 7.2% of this effect is mediated through decreases in the sizes of networks of close confidants, and roughly 8.5% of this effect occurs through increased depressive symptoms. Our findings suggest that older adults’ cognitive decline can be slowed down or prevented through improvements in their living environments. In particular, policies and programs that improve living spaces while also facilitating older residents’ development of close and supportive confidant ties are likely to be particularly effective. Our study encourages further research on how neighborhood dynamics affect older persons’ cognitive functioning.
机译:摘要后期生命认知功能的大多数研究都集中在个体级别变量上。虽然一些研究已经检查了社区级别的变量,因为对老年人的认知功能的影响,但这种奖学金忽视了在动态背景下考虑社区。本研究通过考虑邻域级社会经济劣势的范围变化导致老年居民认知功能的变化如何,有助于填补这一研究差距。我们雇用了国家社会生活,健康和老化项目(NSHAP)的波浪2(2010-2011)和3(2015-2016),作为我们个人级别变量的来源和美国社区调查作为我们邻里级的来源变量。我们的分析样本包括1,989名参与波浪的受访者,在NSHAP的波浪2的年龄中参加了50至90年。通过结构方程模型,我们发现邻域级社会经济劣势的上升显着降低了较旧的居民的认知功能,无论是控制基线邻域级社会经济缺点和认知功能。此外,大约7.2%的这种效果是通过封闭信徒尺寸的减少介导的,并且大约8.5%的这种效果通过增加的抑郁症状而发生。我们的研究结果表明,老年人的认知下降可以减缓或通过改善他们的生活环境。特别是,改善生活空间的政策和计划,同时还促进较老的居民的密切和支持性知己领域的发展可能是特别有效的。我们的研究鼓励进一步研究邻里动态如何影响老年人的认知功能。

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